Brian S Rifkin, MD
Individual provider Active NPI Nephrology Physician · Hattiesburg, MS
NPI 1376545145 · NPPES record last updated Jul 20, 2020
Key facts
- NPI
- 1376545145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 18877 (MS)
- Practice address
- 415 S 28TH Ave
Hattiesburg, MS 39401-7246 - Phone
- (601) 268-5700
- Fax
- (601) 268-5977
- NPI assigned
- Aug 11, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Rutgers New Jersey Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hattiesburg Clinic PA
Practice addresses (Care Compare)
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 264-6000
Hospital & facility affiliations
- Hattiesburg Clinic Dialysis
- West Hattiesburg Clinic Dialysis
- Laurel Dialysis
- Richton Dialysis
- Columbia Dialysis
- Forrest General Hospital
- Merit Health Wesley
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050602000545 | MS | Practitioner - Nephrology |
8527001403 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18877 | MS | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hattiesburg Clinic PA | Current |
Accepting new patients | |
| Hattiesburg Clinic, PA | Current |
Accepting new patients |
Locations
415 S 28th Ave
Fl Four
Hattiesburg, MS 39401
415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606
Interoperability endpoints
- drifkin1988@directpatientrecord.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 18877 | MS | Yes |
Addresses
Primary practice location
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Mailing address
415 S 28TH Ave
Hattiesburg, MS 39401-7246
Phone (601) 268-5700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1768189 | Medicaid | LA | |
| 640507572ZX | Other | MS | AMERICAN ADMIN GROUP |
| 009937642 | Medicaid | AL | |
| 03505897 | Medicaid | MS | |
| P00272244 | Other | RAILROAD MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | drifkin1988@directpatientrecord.com | Health Information Exchange (HIE) |
Other providers in Hattiesburg, MS
- Ashli Richmond
- Tera Riddick
- Victoria N Riebock
- Michael P Rieger
- Andrea Riels- Braswell
- Lee Rigdon
- Mary Kathryn Rigel
- Laurie Ellen Risher
- River Physicians Group LLC
- Patricia Chevis Rivers
All providers in Hattiesburg, MS · Nephrology Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.